How the record reads to a surveyor
The compliance basis.
Every obligation below has been in Appendix Y of the State Operations Manual since Rev. 115 (May 23, 2014); unchanged in Rev. 241 (May 8, 2026).
| Tag | CMS's words | What the record will show |
|---|---|---|
| Z121486.326(b)(1) | sufficient coverage, either by its own staff or under contract or arrangement, to assure both that hospital referral calls are screened for donor potential and that potential donors are evaluated for medical suitability for organ and/or tissue donation in a timely manner. | Coverage will appear as dated bookings on the record. |
| Z118486.326(a)(1) | The OPO must ensure that all individuals who provide services and/or supervise services, including services furnished under contract or arrangement, are qualified to provide or supervise the services.Interpretive guideline, same tag: Review the files for a sample of clinical and family support personnel (including those individuals providing services under arrangement). | The personnel file will stand on the record. |
| Z122486.326(b)(2) | provide information and support to potential organ donor families; request consent for donation; ensure optimal maintenance of the donor, efficient placement of organs, and adequate oversight of organ recovery; and conduct QAPI activities, such as death record reviews and hospital development. | Named, credentialed people will be listed by role. |
| Z124486.326(c) | Education, training, and performance evaluation. | The record of training and evaluation will travel with the person. |
What it costs.
One assignment, the same professional, two ways of paying for it.
| Through an agency | Through Meira | |
|---|---|---|
| What the organization pays | A day rate with the margin inside it | The professional's own rate, plus one fee on its own line |
| What the professional receives | Less than the day rate; the bill does not say how much less | The rate they set, in full |
| What the intermediary takes | A margin inside the day rate, not shown | 8 percent, on its own line |
What you receive.
Invoicenumber · date
professionalCall days and travel days, dates, at the professional's rate
amount
Fee, 8 percentPaid by the organization. On its own line.
amount
The organization pays
total
Payer of record: organization · Categorized to CMS-216 worksheet · line